| Joy N Maccracken, CRNA | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (800) 475-6236 | |
| Not Available |
| Full Name | Joy N Maccracken |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 350 N Wall St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518686047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041438143 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209030278 (Illinois) | Primary |
| Entity Name | Novus Illinois Service Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295491744 PECOS PAC ID: 6901293786 Enrollment ID: O20220426000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy N Maccracken, CRNA 304 Garden Ter, Shorewood, IL 60404-9482 Ph: (779) 206-8713 | Joy N Maccracken, CRNA 350 N Wall St, Kankakee, IL 60901-2901 Ph: (800) 475-6236 |
Steven G Schaeffer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 800-444-6110 | |
Julie L Vanasten, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Mr. Timothy William Kane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Dept Of Anesthesia, Kankakee, IL 60901 Phone: 815-933-1671 | |
Estela Menghamal Aleman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Susan Joy Aardema-coughlin, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-937-2375 |